Acta clinica Croatica, Vol. 58. No. 1., 2019.
Preliminary communication
https://doi.org/10.20471/acc.2019.58.01.20
Quality of Life in Patients with Rheumatoid Arthritis – a Preliminary Study
Renata Martinec
; University of Zagreb, Faculty of Education and Rehabilitation Sciences, Department of Motor Disturbances, Chronic Diseases and Art-Therapies, Zagreb, Croatia
Renata Pinjatela
; University of Zagreb, Faculty of Education and Rehabilitation Sciences, Department of Motor Disturbances, Chronic Diseases and Art-Therapies, Zagreb, Croatia
Diana Balen
; Sestre milosrdnice University Hospital Centre, Department of Rheumatology, Physical Medicine and Rehabilitation, Zagreb, Croatia
Abstract
The most severe effects of rheumatoid arthritis (RA) are loss of physical function and chronic pain, which may have a major impact on different areas of the person’s existence. The aim of this study was to get an insight into the quality of life (QOL) in subjects with RA in connection
with pain perception and functional ability. The following instruments were used: the World Health Organization Quality of Life Questionnaire (WHOQOL-BREF), Short Form Health Survey (SF-36), Health Assessment Questionnaire Disability Index (HAQ-DI) and Visual Analog Scale for Pain (VAS Pain). The results indicated that there was no statistical difference in the QOL between subjects with RA and healthy population according to SF-36 Croatian norms. Also, the results showed that stronger pain experience was significantly associated with poorer social functioning assessment (SF36SF, Spearman’s rho=-0.463, p<0.05), poorer general health perception (SF36GH, Spearman’s
rho=-0.432, p<0.05) and poorer physical functioning (WHOPH, Spearman’s rho=-0.688, p<0.01). Furthermore, the subjects evaluating their general functional state worse were found to have worse physical functioning (SF36PF, Spearman’s rho=-0.699 and WHOPH, Spearman’s rho=-0.769), poorer social functioning (SF36SF, Spearman’s rho=-0.580) and experienced greater pain intensity (SF36BP, Spearman’s rho=-0.652). Therefore, additional efforts should be invested to define a holistic and integrative model of treatment and rehabilitation of people with RA, focused on pain relief, improvement
of functional ability, encouraging social interaction and supporting positive emotional responses.
Keywords
Arthritis, rheumatoid; Quality of life; Health status; Pain; Activities of daily living
Hrčak ID:
220911
URI
Publication date:
1.3.2019.
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